| National Provider Identifier [NPI]: | 1285682930 |
| Last Name Of The Provider | ORTIZ |
| First Name Of The Provider | ALAIN |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 20900 BISCAYNE BOULEVARD |
| Street Address 2 Of The Provider | AVENTURA HOSPITAL AND MEDICAL CENTER |
| City Of The Provider | AVENTURA |
| Zip Code Of The Provider | 33180 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 8783 |
| Number Of Medicare Beneficiaries | 4471 |
| Total Submitted Charge Amount | 1496289 |
| Total Medicare Allowed Amount | 248237.35 |
| Total Medicare Payment Amount | 189607.06 |
| Total Medicare Standardized Payment Amount | 178303.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 203 |
| Number Of Medical Services | 8783 |
| Number Of Medicare Beneficiaries With Medical Services | 4471 |
| Total Medical Submitted Charge Amount | 1496289 |
| Total Medical Medicare Allowed Amount | 248237.35 |
| Total Medical Medicare Payment Amount | 189607.06 |
| Total Medical Medicare Standardized Payment Amount | 178303.67 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 733 |
| Number Of Beneficiaries Age 65 to 74 | 1149 |
| Number Of Beneficiaries Age 75 to 84 | 1210 |
| Number Of Beneficiaries Age Greater 84 | 1379 |
| Number Of Female Beneficiaries | 2645 |
| Number Of Male Beneficiaries | 1826 |
| Number Of Non Hispanic White Beneficiaries | 2947 |
| Number Of Black or African American Beneficiaries | 817 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 572 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2787 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1684 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 33 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 48 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 36 |
| Percent Of With Depression | 40 |
| Percent Of With Diabetes | 50 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.3796 |